HomeMy WebLinkAbout2007-Plumbing (water heater)
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OSHKOSH
ON THE WATER
Job Address 1030 MARICOPA DR
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
Owner PETER LIANNE M MAYO
Contractor KOCH PLUMBING
Category 411 - Residential-Water Heaters
Bathtub Shower Water Softner Wait. St. Shamp Sink
Whirlpool Floor Drain Local Waste Ice Chest FlrlWst Sink
Lavatory Lndry Tray Clothes Wshr Exam Sink Catch Basin
Toilet Disposal Bidet Sculry Sink Wash Ftn
Res. Sink Dishwasher Beer Tap Hand Sink Urinal
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain
Roof Drain Ejector/G ri nd Drink Ftn Serv Sink Soda Disp
Misc.
Fixtures
Use/Nature SFR 1 REPLACE GAS WATER HEATER **debt acct
of Work
No 125567
Create Date 06/28/2007
Plan
Coffee Maker
lnt Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Size
Conn. Type
Material
Type
#
Sanitary Sewer
Storm Sewer
Water Service
Valuation $700.00 Plan Approval
Issued By .3::rll &-
$0.00 Permit Fees
$25.00 0 Permit Voided I
Parcelld #
1312910000
Date 06/28/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature
Address 2005 DOTY ST
AgenUOwner
OSHKOSH
WI 54902 - 7040 Telephone Number 920-231-6661 or 235
Date
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
..
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:::
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28 07 10:04a
Clarence Koch
(920)
235-0282
p. 1
Oshkosh
Ji:::tion Services Division
J Box 1130
Jshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax: (920) 236-5084
~
OJ~OJH
ON TH~ IN'~
Plumbing Permit Application
I hereby apply for a permit to do and install the following plumbing on the J:A~ hereinafter descnbed, the work to uxtfuuu.1D me
Wisconsin State Plumbing Code, in the performance ofwbich all parties h:rcro agree to and are bound by said statutes..
· Application(s) and fee(s) can be brought to City Hall, Room20S or mailed to Inspection Services, PO Box II2&,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
[(vou are a contractor "Oarticivating in the Permit Fee Account System and have adequate funds. check here
if yOU want this processed thrOUF?h your account !Xl
Job Address 1030 /P/#/V"CL:7/A"
Owner "oErE/Z- $fr~O
[kjSingle Family DDuplex DMulti-Family
Contractor
Value (Including labor and mataials)
6c//
DRental
7~~
h/Sa...
Date ~-Zg-07
DCommercial
DIndustrial
Number of Fixtures:
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater ---1-
~Gas 0 Elect 0 PwrVnt
Shower
Floor Drain
Lndry Tray
Lab Sink
Plaster' Sink
Sterili:ZeT
Misc.
Fixtures
Disposal
DishWllsher
Sump Pump
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Classrm Sink
Surgeons Sink
Brealcrm Sink
Dip Well
Hose Bibs
DrinkFtn
Wait.St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
F Prep Sink
Sc:rv Sink
Tnt Grease Trap
En Grease Trap
- R.P.Z. Valve ,.
Shamp Sink
FIr/Wst Sink
Catch Basin
Wash Fin
Urinal
Gar Drain
Soda Disp
Coffee Maker
Comm. lee Maker
Site Drain
Roof Drain
Standp Rec
Eye Wash Stn
WtrSewer Mtrs
Deduc:tMetas
Wtr Usage Mtrs
Electric Contractor
OR . OElectric Installation Verification form attacbed
(If Replacement)
e~~ SO d~c;;o~ $~,e-4- ~/f7~d.
Use / Nature of Work
Size
Material
Type
#
Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
11/05